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May 17, 2026Nutrition & Metabolism1 citationsOpen Access

The Mediterranean-DASH Intervention for Neurodegenerative Delay (MIND) diet and the risk of cancer, cardiovascular diseases, hypertension, all-cause, and cardiovascular diseases mortality: a systematic review and meta-analysis of observational studies

HAHamid AhmadiradYPYahya PasdarJMJalal Moludi

Key Result

Higher adherence to the MIND diet was associated with a significantly lower risk of all-cause mortality (RR 0.86), cardiovascular disease mortality (RR 0.78), and cancer (RR 0.45).

Key Points

  • This review aims to evaluate the association between the MIND diet and the risks of cancer, cardiovascular diseases, hypertension, and mortality.
  • Systematic search conducted in PubMed, Scopus, and Web of Science up to July 2025.
  • Hazard ratios and odds ratios with 95% confidence intervals were extracted from studies.
  • Pooled results were estimated using a random-effects model with inverse variance weighting.
  • Greater adherence to the MIND diet is associated with lower risk of cancer and all-cause mortality.
  • No significant association found between the MIND diet and hypertension or cardiovascular diseases mortality.

Study Design

Type

Meta-Analysis (n=71,391)

Structured PICO

Does greater adherence to the MIND diet reduce the risk of cancer, cardiovascular diseases, hypertension, and mortality?

P
Population
Participants in observational studies assessing the relationship between the MIND diet and chronic diseases/mortality
I
Intervention
Greater adherence to the Mediterranean-DASH Intervention for Neurodegenerative Delay (MIND) diet
C
Comparator
Lower adherence to the MIND diet
O
Outcome
Risk of cancer, cardiovascular diseases (CVDs), hypertension (HTN), all-cause mortality, and cardiovascular diseases mortalityhard clinical

Greater adherence to the MIND diet is associated with reduced risks of cancer, all-cause mortality, and CVD mortality, though not with incident CVD or hypertension.

Main Result

Effect estimate: RR 0.86 (95% CI 0.81-0.92)

p-value: p=<0.001

Limitations

  • Substantial heterogeneity among included studies
  • Potential publication bias
  • Moderate risk of bias in most included studies
  • Observational nature of the included studies precludes causal inference
  • substantial heterogeneity
  • potential publication bias
  • moderate risk of bias
  • observational nature of the included studies

Abstract

BACKGROUND: Recent studies have focused on the relationship between the Mediterranean-DASH Intervention for Neurodegenerative Delay (MIND) diet and the risk of chronic diseases and mortality. The present systematic review and meta-analysis aimed to review and compile the available research and assess the possible relationship of the MIND diet score with cancer, cardiovascular diseases (CVDs), hypertension (HTN), and mortality risks. METHODS: A comprehensive and systematic search was performed in online databases including PubMed, Scopus, and Web of Science up to July 2025. Hazard ratios(HRs) or odds ratios(ORs) and their 95% confidence intervals(CIs) were extracted from the included studies, then to estimate the pooled results, the random-effects model with inverse variance weighting method was used. RESULTS: = 82.4%, P-heterogeneity < 0.001). CONCLUSIONS: Our findings suggested that the greater adherence to the MIND diet may be associated with lower risk of cancer, all-cause mortality, and CVDs-mortality; however, no significant association was observed between the MIND diet and risk of HTN and CVDs. These findings should be interpreted cautiously due to substantial heterogeneity, potential publication bias, a moderate risk of bias, and the observational nature of the included studies. Further research is warranted to assess the long-term effects and potential relationship of the MIND diet with risk of these chronic outcomes. SYSTEMATIC REVIEW REGISTRATION: CRD420251014343.

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Cite This Study

Ahmadirad et al. (2026) conducted a meta-analysis in General population (n=71,391). MIND diet vs. Lowest adherence category was evaluated on All-cause mortality (RR 0.86, 95% CI 0.81-0.92, p=<0.001). Higher adherence to the MIND diet was associated with a significantly lower risk of all-cause mortality (RR 0.86), cardiovascular disease mortality (RR 0.78), and cancer (RR 0.45).

synapsesocial.com/papers/6a095a877880e6d24efe0810https://doi.org/10.1186/s12986-026-01135-y
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Adherence to Mediterranean-Dietary Approaches to Stop Hypertension Intervention for Neurodegenerative Delay Diet in Relation to Serum Brain-Derived Neurotrophic Factor Concentrations and Metabolic Health Status in Adults2024 · 4 citations
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